What is the pathophysiology of Hemophilia

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Hemophilia is a hereditary bleeding disorder caused by deficiencies of clotting factor VIII or IX. It is attributed to deletions, mutations, or inversions affecting the factor VIII or IX gene (Castaman & Matino, 2019). Since these genes are located on the X chromosome, hemophilia primarily affects males. The severity of hemophilia is grouped according to the plasma level of factor VIII or factor IX activity. The severe form of hemophilia is described as a factor level <1% of normal, the moderate form is a factor level of 1-5%, and the mild form is a factor level of 5-40% (Castaman & Matino, 2019). Persons with severe hemophilia often develop hemorrhages into muscles, joints, or soft tissues without obvious causes.

References

Castaman, G., & Matino, D. (2019). Hemophilia A and B: molecular and clinical similarities and differences. Haematologica104(9), 1702–1709. https://doi.org/10.3324/haematol.2019.221093

Inusa, B., Hsu, L. L., Kohli, N., Patel, A., Ominu-Evbota, K., Anie, K. A., & Atoyebi, W. (2019). Sickle Cell Disease-Genetics, Pathophysiology, Clinical Presentation and Treatment. International Journal of Neonatal Screening5(2), 20. https://doi.org/10.3390/ijns5020020

Malard, F., & Mohty, M. (2020). Acute lymphoblastic leukaemia. Lancet (London, England)395(10230), 1146–1162. https://doi.org/10.1016/S0140-6736(19)33018-1

Patil, A., Deshpande, R., Dash, S., Bhat, G., & Mehta, S. (2020). Non-oliguric renal failure with nephromegaly as the presenting manifestation of acute lymphoblastic leukemia in a young adult: an unusual case report. Nephrol Renal Dis5.

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